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DIVISION 2. CLASSES OF INSURANCE 1880-12880.5›PART 2. LIFE AND DISABILITY INSURANCE 10110-11549›CHAPTER 4. Standard Provisions in Disability Policies 10270-10402.1›ARTICLE 4. Compulsory Standard Provisions—Uniform Provisions 10350-10354

§ 10354

California Insurance Code · 2018-11 edition · updated 2026-10-04 · California

(a) (1) Every policy of disability insurance issued, amended, or renewed on or after January 1, 1994, that offers coverage for perinatal services shall contain a provision for direct reimbursement to licensed midwives for perinatal services rendered under terms and conditions as may be agreed upon between the policyholder and the insurer.

(2) The licensed midwife may collect payment for any unpaid portion of his or her fee, as provided under the policy for other providers.

(3) Reasonable consideration shall be given to licensed midwives by disability insurers contracting for services at alternative rates. For the purposes of this section, “reasonable consideration” shall have the meaning provided in Section 10180.

(b) For purposes of this section, “direct reimbursement” means that after the policyholder files a claim for the perinatal service provided under those terms and conditions as may be agreed upon between the policyholder and the insurer, the insurer pays the licensed midwife directly.

(Added by Stats. 1993, Ch. 1280, Sec. 4. Effective January 1, 1994.)

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